Beyond the Plate: Patterns of Cultural Cuisine Representation in Hospital Menus Across Texas

Diverse cultural representation within menus is crucial within healthcare due to its connection to patient satisfaction, dietary intake, and overall patient health. This study focuses on identifying patterns in the representation of cultural cuisines across hospital menus in urban and suburban Texas counties.

This study collected 32 menus across 21 Texas counties, which were analyzed using a content analysis methodology. The food items within the menus were coded into the following eight categories based on the predominant cultural origin/influence: Hispanic, Asian, European, African, Southern, Mediterranean, Neutral, and Basic. The coded qualitative data were then analyzed for presence, percent composition, frequently occurring items/dishes, and most frequently represented countries.

Findings reveal limited cultural representation through four main patterns: (1) neutral dominance, (2) limited options, (3) emphasis on familiarity, and (4) geographical concentration. The presence of low cultural diversity in hospital menus poses potential concerns over patient health outcomes within Texas, with implications outlining the possible need for dietary policy revisions. These findings can contribute to discussions on cultural competency, patient-centered care, and strategies for improving inclusivity within hospital dietary sectors.